Fill in this information to identify your case:

United States Bankruptcy Court for the:

NORTHERN DISTRICT OF ILLINOIS

Case number (if known) Chapter you are filing under:

 Chapter 7

 Chapter 11

 Chapter 12

 Chapter 13  Check if this an

amended filing

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy 12/15

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a joint

case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,” the answer

would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish

between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in

all of the forms.

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If

more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer

every question.

Part 1: Identify Yourself

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

1. Your full name

Write the name that is on

your government-issued

picture identification (for

example, your driver's

license or passport).

Bring your picture

identification to your

meeting with the trustee.

Lawana

First name First name

Middle name Middle name

Long

Last name and Suffix (Sr., Jr., II, III) Last name and Suffix (Sr., Jr., II, III)

2. All other names you have

used in the last 8 years

Include your married or

maiden names.

FKA Lawana P. Williams

Lawana P. Long

3. Only the last 4 digits of

your Social Security

number or federal

Individual Taxpayer

Identification number

(ITIN)

xxx-xx-3314

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1

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 Document Page 1 of 19
Debtor 1 Lawana Long Case number (if known)

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

4. Any business names and

Employer Identification

Numbers (EIN) you have

used in the last 8 years

 I have not used any business name or EINs.  I have not used any business name or EINs.

Include trade names and

doing business as names

Business name(s) Business name(s)

EINs EINs

5. Where you live If Debtor 2 lives at a different address:

3120 173rd St.

Hazel Crest, IL 60429

Number, Street, City, State & ZIP Code Number, Street, City, State & ZIP Code

Cook

County County

If your mailing address is different from the one

above, fill it in here. Note that the court will send any

notices to you at this mailing address.

If Debtor 2's mailing address is different from yours, fill it

in here. Note that the court will send any notices to this

mailing address.

Number, P.O. Box, Street, City, State & ZIP Code Number, P.O. Box, Street, City, State & ZIP Code

6. Why you are choosing

this district to file for

bankruptcy

Check one:

 Over the last 180 days before filing this petition,

I have lived in this district longer than in any

other district.

 I have another reason.

Explain. (See 28 U.S.C. § 1408.)

Check one:

 Over the last 180 days before filing this petition, I

have lived in this district longer than in any other

district.

 I have another reason.

Explain. (See 28 U.S.C. § 1408.)

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 2

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Debtor 1 Lawana Long Case number (if known)

Part 2: Tell the Court About Your Bankruptcy Case

7. The chapter of the

Bankruptcy Code you are

choosing to file under

Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy

(Form 2010)). Also, go to the top of page 1 and check the appropriate box.

 Chapter 7

 Chapter 11

 Chapter 12

 Chapter 13

8. How you will pay the fee  I will pay the entire fee when I file my petition. Please check with the clerk’s office in your local court for more details

about how you may pay. Typically, if you are paying the fee yourself, you may pay with cash, cashier’s check, or money

order. If your attorney is submitting your payment on your behalf, your attorney may pay with a credit card or check with

a pre-printed address.

 I need to pay the fee in installments. If you choose this option, sign and attach the Application for Individuals to Pay

The Filing Fee in Installments (Official Form 103A).

 I request that my fee be waived (You may request this option only if you are filing for Chapter 7. By law, a judge may,

but is not required to, waive your fee, and may do so only if your income is less than 150% of the official poverty line that

applies to your family size and you are unable to pay the fee in installments). If you choose this option, you must fill out

the Application to Have the Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition.

9. Have you filed for

bankruptcy within the

last 8 years?

 No.

 Yes.

District When Case number

District When Case number

District When Case number

10. Are any bankruptcy

cases pending or being

filed by a spouse who is

not filing this case with

you, or by a business

partner, or by an

affiliate?

 No

 Yes.

Debtor Relationship to you

District When Case number, if known

Debtor Relationship to you

District When Case number, if known

11. Do you rent your

residence?

 No. Go to line 12.

 Yes. Has your landlord obtained an eviction judgment against you and do you want to stay in your residence?

 No. Go to line 12.

 Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it with this

bankruptcy petition.

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 3

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Debtor 1 Lawana Long Case number (if known)

Part 3: Report About Any Businesses You Own as a Sole Proprietor

12. Are you a sole proprietor

of any full- or part-time

business?

 No. Go to Part 4.

 Yes. Name and location of business

A sole proprietorship is a

business you operate as

an individual, and is not a

separate legal entity such

as a corporation,

partnership, or LLC.

Name of business, if any

If you have more than one

sole proprietorship, use a

separate sheet and attach

it to this petition.

Number, Street, City, State & ZIP Code

Check the appropriate box to describe your business:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))

 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))

 Stockbroker (as defined in 11 U.S.C. § 101(53A))

 Commodity Broker (as defined in 11 U.S.C. § 101(6))

 None of the above

13. Are you filing under

Chapter 11 of the

Bankruptcy Code and are

you a small business

debtor?

If you are filing under Chapter 11, the court must know whether you are a small business debtor so that it can set appropriate

deadlines. If you indicate that you are a small business debtor, you must attach your most recent balance sheet, statement of

operations, cash-flow statement, and federal income tax return or if any of these documents do not exist, follow the procedure

in 11 U.S.C. 1116(1)(B).

For a definition of small

business debtor, see 11

U.S.C. § 101(51D).

 No. I am not filing under Chapter 11.

 No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in the Bankruptcy

Code.

 Yes. I am filing under Chapter 11 and I am a small business debtor according to the definition in the Bankruptcy Code.

Part 4: Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention

14. Do you own or have any

property that poses or is

alleged to pose a threat

of imminent and

identifiable hazard to

public health or safety?

Or do you own any

property that needs

immediate attention?

 No.

 Yes.

What is the hazard?

If immediate attention is

needed, why is it needed?

For example, do you own

perishable goods, or

livestock that must be fed,

or a building that needs

urgent repairs?

Where is the property?

Number, Street, City, State & Zip Code

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 4

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Debtor 1 Lawana Long Case number (if known)

Part 5: Explain Your Efforts to Receive a Briefing About Credit Counseling

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

15. Tell the court whether

you have received a

briefing about credit

counseling.

The law requires that you

receive a briefing about

credit counseling before

you file for bankruptcy.

You must truthfully check

one of the following

choices. If you cannot do

so, you are not eligible to

file.

If you file anyway, the court

can dismiss your case, you

will lose whatever filing fee

you paid, and your

creditors can begin

collection activities again.

You must check one: You must check one:

 I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, and I received a

certificate of completion.

Attach a copy of the certificate and the payment

plan, if any, that you developed with the agency.

 I received a briefing from an approved credit

counseling agency within the 180 days before I filed

this bankruptcy petition, and I received a certificate of

completion.

Attach a copy of the certificate and the payment plan, if

any, that you developed with the agency.

 I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, but I do not have

a certificate of completion.

Within 14 days after you file this bankruptcy

petition, you MUST file a copy of the certificate and

payment plan, if any.

 I received a briefing from an approved credit

counseling agency within the 180 days before I filed

this bankruptcy petition, but I do not have a certificate

of completion.

Within 14 days after you file this bankruptcy petition, you

MUST file a copy of the certificate and payment plan, if

any.

 I certify that I asked for credit counseling

services from an approved agency, but was

unable to obtain those services during the 7

days after I made my request, and exigent

circumstances merit a 30-day temporary waiver

of the requirement.

To ask for a 30-day temporary waiver of the

requirement, attach a separate sheet explaining

what efforts you made to obtain the briefing, why

you were unable to obtain it before you filed for

bankruptcy, and what exigent circumstances

required you to file this case.

Your case may be dismissed if the court is

dissatisfied with your reasons for not receiving a

briefing before you filed for bankruptcy.

If the court is satisfied with your reasons, you must

still receive a briefing within 30 days after you file.

You must file a certificate from the approved

agency, along with a copy of the payment plan you

developed, if any. If you do not do so, your case

may be dismissed.

Any extension of the 30-day deadline is granted

only for cause and is limited to a maximum of 15

days.

 I certify that I asked for credit counseling services

from an approved agency, but was unable to obtain

those services during the 7 days after I made my

request, and exigent circumstances merit a 30-day

temporary waiver of the requirement.

To ask for a 30-day temporary waiver of the requirement,

attach a separate sheet explaining what efforts you made

to obtain the briefing, why you were unable to obtain it

before you filed for bankruptcy, and what exigent

circumstances required you to file this case.

Your case may be dismissed if the court is dissatisfied

with your reasons for not receiving a briefing before you

filed for bankruptcy.

If the court is satisfied with your reasons, you must still

receive a briefing within 30 days after you file. You must

file a certificate from the approved agency, along with a

copy of the payment plan you developed, if any. If you do

not do so, your case may be dismissed.

Any extension of the 30-day deadline is granted only for

cause and is limited to a maximum of 15 days.

 I am not required to receive a briefing about

credit counseling because of:

 I am not required to receive a briefing about credit

counseling because of:

 Incapacity.

I have a mental illness or a mental deficiency

that makes me incapable of realizing or

making rational decisions about finances.

 Incapacity.

I have a mental illness or a mental deficiency that

makes me incapable of realizing or making rational

decisions about finances.

 Disability.

My physical disability causes me to be

unable to participate in a briefing in person,

by phone, or through the internet, even after I

reasonably tried to do so.

 Disability.

My physical disability causes me to be unable to

participate in a briefing in person, by phone, or

through the internet, even after I reasonably tried to

do so.

 Active duty.

I am currently on active military duty in a

military combat zone.

 Active duty.

I am currently on active military duty in a military

combat zone.

If you believe you are not required to receive a

briefing about credit counseling, you must file a

motion for waiver credit counseling with the court.

If you believe you are not required to receive a briefing

about credit counseling, you must file a motion for waiver

of credit counseling with the court.

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 5

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Debtor 1 Lawana Long Case number (if known)

Part 6: Answer These Questions for Reporting Purposes

16. What kind of debts do

you have?

16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8) as “incurred by an

individual primarily for a personal, family, or household purpose.”

 No. Go to line 16b.

 Yes. Go to line 17.

16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain

money for a business or investment or through the operation of the business or investment.

 No. Go to line 16c.

 Yes. Go to line 17.

16c. State the type of debts you owe that are not consumer debts or business debts

17. Are you filing under

Chapter 7?

 No. I am not filing under Chapter 7. Go to line 18.

Do you estimate that

after any exempt

property is excluded and

administrative expenses

are paid that funds will

be available for

distribution to unsecured

creditors?

 Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and administrative expenses

are paid that funds will be available to distribute to unsecured creditors?

 No

 Yes

18. How many Creditors do

you estimate that you

owe?

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5001-10,000

 10,001-25,000

 25,001-50,000

 50,001-100,000

 More than100,000

19. How much do you

estimate your assets to

be worth?

 $0 - $50,000

 $50,001 - $100,000

 $100,001 - $500,000

 $500,001 - $1 million

 $1,000,001 - $10 million

 $10,000,001 - $50 million

 $50,000,001 - $100 million

 $100,000,001 - $500 million

 $500,000,001 - $1 billion

 $1,000,000,001 - $10 billion

 $10,000,000,001 - $50 billion

 More than $50 billion

20. How much do you

estimate your liabilities

to be?

 $0 - $50,000

 $50,001 - $100,000

 $100,001 - $500,000

 $500,001 - $1 million

 $1,000,001 - $10 million

 $10,000,001 - $50 million

 $50,000,001 - $100 million

 $100,000,001 - $500 million

 $500,000,001 - $1 billion

 $1,000,000,001 - $10 billion

 $10,000,000,001 - $50 billion

 More than $50 billion

Part 7: Sign Below

For you I have examined this petition, and I declare under penalty of perjury that the information provided is true and correct.

If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13 of title 11,

United States Code. I understand the relief available under each chapter, and I choose to proceed under Chapter 7.

If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out this

document, I have obtained and read the notice required by 11 U.S.C. § 342(b).

I request relief in accordance with the chapter of title 11, United States Code, specified in this petition.

I understand making a false statement, concealing property, or obtaining money or property by fraud in connection with a

bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519,

and 3571.

/s/ Lawana Long

Lawana Long Signature of Debtor 2

Signature of Debtor 1

Executed on August 11, 2016 Executed on

MM / DD / YYYY MM / DD / YYYY

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 6

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 Document Page 6 of 19
Debtor 1 Lawana Long Case number (if known)

For your attorney, if you are

represented by one

If you are not represented by

an attorney, you do not need

to file this page.

I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility to proceed

under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each chapter

for which the person is eligible. I also certify that I have delivered to the debtor(s) the notice required by 11 U.S.C. § 342(b)

and, in a case in which § 707(b)(4)(D) applies, certify that I have no knowledge after an inquiry that the information in the

schedules filed with the petition is incorrect.

/s/ Andrew C. Marzan ARDC Date August 11, 2016

Signature of Attorney for Debtor MM / DD / YYYY

Andrew C. Marzan ARDC

Printed name

Ledford, Wu & Borges, LLC

Firm name

105 W. Madison

23rd Floor

Chicago, IL 60602

Number, Street, City, State & ZIP Code

Contact phone 312-853-0200 Email address notice@billbusters.com

#6316313

Bar number & State

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 7

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 Document Page 7 of 19
B2030 (Form 2030) (12/15)

United States Bankruptcy Court

Northern District of Illinois

In re Lawana Long Case No.

Debtor(s) Chapter 13

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)

1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above named debtor(s) and that

compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to

be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:

For legal services, I have agreed to accept $ 4,000.00

Prior to the filing of this statement I have received $ 40.00

Balance Due $ 3,960.00

2. $ 310.00 of the filing fee has been paid.

3. The source of the compensation paid to me was:

 Debtor  Other (specify):

4. The source of compensation to be paid to me is:

 Debtor  Other (specify):

5.  I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.

 I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A

copy of the agreement, together with a list of the names of the people sharing in the compensation is attached.

6. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:

a. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy;

b. Preparation and filing of any petition, schedules, statement of affairs and plan which may be required;

c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;

d. [Other provisions as needed]

Exemption planning; preparation and filing of reaffirmation agreements and applications as needed; preparation

and filing of motions pursuant to 11 USC 522(f)(2)(A) for avoidance of liens on household goods.

7. By agreement with the debtor(s), the above-disclosed fee does not include the following service:

Representation of the debtors in any dischargeability actions or any other adversary proceeding.

CERTIFICATION

I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in

this bankruptcy proceeding.

August 11, 2016 /s/ Andrew C. Marzan ARDC

Date Andrew C. Marzan ARDC #6316313

Signature of Attorney

Ledford, Wu & Borges, LLC

105 W. Madison

23rd Floor

Chicago, IL 60602

312-853-0200 Fax: 312-873-4693

notice@billbusters.com

Name of law firm

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-26410 Doc 1 Filed 08/17/16 Entered 08/17/16 12:56:14 Desc Main

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BILLBUSTERS FOR OFFICE USE (13) 

wmmmw0mm0mmmmmwm0m0m AttorneLs a' Low 

Ledford, Wu and Borges, LLC Client No. 

(312)853-0200 Fax: (312)873-4693 Responsible attorncv.4 is 

ATTORNEY RETENTION CONTRACT CARA signed? N 

1. Parties. In this contract, "Client" means the undersigned, both individually and jointly; "Attorney" means Ledford, Wu & Borges, LLC and 

its staff attorneys. This contract shall supersede any prior contracts and agreements between the parties to the extent of inconsistency. In the 

event of any inconsistency between this contract and a Court-Approved Retention Agreement, the latter shall prevail. 

2. Services: Client retains Attorney for the following services: U Chapter 13 bankruptcy (debt adjustment) 

3. Scope of Representation: 

(a) Attorney will counsel and represent Client in all aspects of the above matter(s) for the fee specified in Paragraph 4 EXCEPT: (1) 

adversary proceedings; (2) post-discharge litigation; (3) appeals; (4) other (specify): 

(b) Attorney may agree, but is not obligated, to represent Client in the above excluded matters for an additional fee, to be agreed upon 

separately by the parties. 

4./Fees: 

U Legal fee: $ - PLUS $310 filing fee (court cost) (an additional Court-Approved Retention Agreement may apply) 

U Expenses: $ V (merged credit report and credit counseling) 

TOTAL: $ t1O G 0— less retainer received: $1t? 0 Fee balance: $') 1 i7 To be paid by: Cl f 

The legal fee is an U advance payment retainer U security retainer U classic retainer, and is a flat fee unless otherwise stated. Attorney 

is unable to represent Client without receiving an advance payment retainer since a security retainer will be within the reach of Client's 

creditors. Should hourly billing be necessary, Attorney's billing rates are $300-$400/hour for partners, $250/hour for associates, and $90/hour 

for law clerks. The filing fee and expenses are subject to change at any time. The billing rates are subject to an annual review and potential 

increase every calendar year. 

The legal fee covers the initial consultation and all subsequent work. The case may be closed if the fees are not paid by the deadline. 

Additional legal fees may apply if the parties have entered into a Court-Approved Retention Agreement and such Agreement so authorizes, or 

if the case is converted from one chapter to another. Additional court costs may apply for amending a petition, list, schedule or statement postfiling or other reasons not due to Attorney's fault. NSF checks will be assessed a $20 fee. 

5. ,Ini ial onsultation. Client acknowledges that Attorney has explained the following (please initial): 

- The options of Chapter 7 and Chapter 13 and that Client has made the choice identified in Paragraph 2 

The concepts of exemption, discharge and dischargeability, and pre-filing and post-filing procedures 

)( The difference among various types of retainer and that Client has made the choice identified in Paragraph 4 

A Chapter 13 plan will be submitted to the Court in good faith. The plan payment may have to increase if creditor claims come in 

higher than scheduled, creditors successfully argue that they are entitled to a higher interest rate, the Trustee successfully argues 

that the budgeted income is lower than actual income, the Trustee successfully argues that budgeted expenses are unreasonably 

, high or the Court makes a finding that the plan is not the best effort you can make to repay your creditors. 

TIME IS OF THE ESSENCE. Any delay on Client's part may disqualify Client for the type of relief elected or otherwise 

adversely affect Client's case. Attorney may not be able to file the case, or take other necessary actions, until all requested 

documents and/or information, including but not limited to a certificate of credit counseling, are received by Attorney 

Other (specify): 

Client understands that the advice given during the initial consultation is preliminary and based on the information available at the time, and 

may change as the case is further analyzed, more facts discovered, or Client's circumstances or the law changed. 

6. Client's Duties. Client agrees, during the course of representation, to: 

(a) provide Attorney with full, accurate and timely information, financial and otherwise; 

(b) follow Attorney's procedures and cooperate with Attorney in providing requested documents and information; 

(c) promptly inform Attorney of any change of address, phone number, e-mail address or employment, or activation of military duty; 

(d) inform Attorney before buying, selling, refinancing or transferring any real property in which Client has any interest, and before incurring 

any new debt, including but not limited to applying for an auto loan, personal loan, payday loan or title loan, applying for a credit card or 

line of credit, or using an existing credit card or line of credit; and 

(e) . promptly inform Attorney if Client becomes entitled to an inheritance, an asset as a result of a property settlement agreement with Client's 

spouse or a divorce decree, life insurance proceeds, or a monetary judgment, award or settlement. 

7. Co-counsel. Client understands that more than one attorney may work on this case. Where necessary, Client agrees to employ outside 

counsel, at Attorney's expense, to work on this case, including: Kathleen W. Vaught, Kelly M. Johnson, David Carter, or Christina Banyon. 

8. Termination. Client may discharge Attorney at any time, subject to payment of any fee owed for the services already rendered. Attorney 

may terminate the representation as permitted by the Illinois Rules of Professional Conduct and Local Bankruptcy Rules. Any flat fee for a 

bankruptcy case is advance payment for future services, becomes Attorney's property upon receipt, and is nonrefundable upon filing of the 

petition. In the event the representation is terminated by either party before filing and Client has paid Attorney more than $300, Attorney will 

provide Client with a detailed itemization of the services rendered in support of any fee charged at the rate set forth in Paragraph 4, and Client 

will reimburse Attorney for any expenses, including those that otherwise would be free of charge, and authorizes Attorney to apply the filing 

fe a d any payment for penses that have not been incurred towards the attorney's fee, subject to the requirements set forth herein. 

XQjL& 

Attorney Signature: ) ARDC # 

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 Document Page 9 of 19
LEDFORD, Wu & BORGES, LLC FOR OFFICE USE 

105 W. Madison, 23td Floor, Chicago, IL 60602 Client No. 

(312)853-0200 Fax: (312)873-4693 interviewing Attorney: fit! )'-\ 

CONSULTATION AGREEMENT Date: 

THIS AGREEMENT IS REQUIRED BY FEDERAL LAW (11 U.S.C. 528(a)) 

1. Parties: In this contract, "Client" means the undersigned, both individually and jointly; "Attorney" means the law 

firm of Ledford, Wu & Borges, LLC and its staff attorneys. 

2. Purpose: Client has requested the opportunity to consult with and obtain information and advice from Attorney 

concerning options for relief from debts, which may include filing bankruptcy. This agreement is for purposes of that 

consultation only. 

3. Client's Duties: In order for Attorney to give meaningful advice, Client agrees to give accurate, honest, full and fair 

disclosure of financial information concerning income over the past three years from all sources, monthly living expenses, 

the type and amount of all debts (including names and addresses of all creditors), all assets and property owned by the 

client, wherever located and by whomever held, and any additional information determined by Attorney to be relevant. 

4. Services: The attorney agrees to provide Client with the following services: 

a. analyzing Client's financial circumstances based on information provided by Client; 

b. to the extent possible, advising Client of bankruptcy options and non-bankruptcy options based on the 

information provided by Client; 

c. if Client has not provided Attorney with sufficient information upon which to fully advise Client on Client's 

options, informing Client what additional information Client needs to provide in order to enable Attorney to 

provide such advice and information; 

d. where applicable, advising Client of the requirements placed upon Client to file a bankruptcy; and 

e. to the extent possible, quoting a fee for providing bankruptcy and/or nonbankruptcy assistance to Client 

5. Fees (check one): 

_SOA consultation fee will be waived if Client decides not to retain 

relationship shall terminate at the conclusion of the interview 

Client agrees to pay $__________ in nonrefundable consultation fee 

Attorney, in which case the attorney-client 

In the event Client decides to retain Attorney, this consultation becomes billable and is covered by the legal fee charged 

for the case, and a new written contract, as well as a Court-Approved Retention Agreement if applicable, must be signed 

by Client and Attorney, which shall supersede this agreement. The new agreement(s) will also provide a detailed 

explanation of the parties' obligations and a breakdown of the costs. 

6. Acknowledgement: Client acknowledges that the first date upon which Attorney provided any bankruptcy assistance 

to Client is the date noted above, and that Attorney provided Client with a copy of this agreement and the disclosure and 

information mandated by Section 527(b) of the Bankruptcy Code. 

X x - Date: @ 

Attorney Signature: ARDC#: ( 6,3I 

Copyright © 2015 Ledford, Wu & Borges, LLC 

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}bk1{Credito AresMatix}bk{

Afni

1310 Martin Luther King Dr

Bloomington, IL 61701

Arnold Scott Harris, P.C.

111 W. Jackson Blvd

Ste 600

Chicago, IL 60604

City of Chicago

Dept of Revenue

P.O. Box 88292

Chicago, IL 60680-1292

City of Chicago Corporate Counselor

121 N. LaSalle Street

Suite 600

Chicago, IL 60602

City of Chicago Dept. of Finance

PO Box 6330

Chicago, IL 60680

City of Chicago Heights

1601 Halsted St.

Chicago Heights, IL 60411

City of Chicago Heights

83 E. Joe Orr Rd.

Chicago Heights, IL 60411-1223

City of Harvey - Water Department

15320 Broadway

Harvey, IL 60426

City of Harvey Water Dept.

P.O. Box 2600

Harvey, IL 60426

ComEd

3 Lincoln Center

Attn: Bkcy Group-Claims Department

Oakbrook Terrace, IL 60181

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Cook County Treasurer

118 North Clark Street, Suite 112

PIN:

Chicago, IL 60602

Credence Resource Management

Po Box 2300

Southgate, MI 48195

Crescent Bank And Trus

5401 Jefferson Hwy Ste D

Harahan, LA 70123

CSO Opp Lii

ADDRESS*********

2014 M6 00278

Dept Of Ed/Navient

Attn: Claims Dept

Po Box 9400

Wilkes Barr, PA 18773

Dept Of Ed/Navient

Attn: Claims Dept

Po Box 9400

Wilkes Barr, PA 18773

Dept Of Ed/Navient

Attn: Claims Dept

Po Box 9400

Wilkes Barr, PA 18773

ERC/Enhanced Recovery Corp

8014 Bayberry Rd

Jacksonville, FL 32256

Exeter Finance Corp

Po Box 166008

Irving, TX 75016

Fair Collections & Outsourcing

12304 Baltimore Ave Suite E

2013 M1 714370

Beltsville, MD 20705

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First South Western Fn

1845 W 4400 S Ste B2

Roy, UT 84067

Grand Canyon Universit

3300 W Camelback Rd

Phoenix, AZ 85017

ICS/Illinois Collection Service

Po Box 1010

Tinley Park, IL 60477

Kinzie Realty Corp.

806 Greenwood St

Evanston, IL 60201

Midland Funding

2365 Northside Dr

Suite 300

San Diego, CA 92108

Midnight Velvet

Swiss Colony/Midnight Velvet

1112 7th Ave

Monroe, WI 53566

Midstate Collection So

P O Box 3292

Champaign, IL 61826

Nicor

P.O.Box 5407

Carol Stream, IL 60197

Nicor Gas

PO Box 2020

Aurora, IL 60507

Shaw Orthodontist

4440 Lincoln Hwy

Suit 300

Matteson, IL 60443

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Title Max

3147 S. Chicago Road

S. Chicago Heights, IL 60411

TitleMax

1513 Sibley Blvd

Calumet City, IL 60409

TitleMax of Illinois Inc.

15 Bull Street

Ste. 200

Savannah, GA 31401

United Acceptance Inc

2400 Lake Park Dr Se Ste

Smyrna, GA 30080

Universal Acceptance

Po Box 398104

Edina, MN 55439

US BANK

1959 BURNS AVENUE

Saint Paul, MN 55108

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